| Mary Conaway Ritter, Lpc | |
|
710 Chippewa Sq Suite 208 Marquette MI 49855-4821 | |
| (906) 362-1647 | |
| Not Available |
| Full Name | Mary Conaway Ritter, Lpc |
|---|---|
| Speciality | Counselor |
| Location | 710 Chippewa Sq, Marquette, Michigan |
| Authorized Official Name and Position | Mary C Ritter (THERAPIST) |
| Authorized Official Contact | 9063621647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Conaway Ritter, Lpc 102 W Washington St Suite 114 Marquette MI 49855-4368 Ph: (906) 362-1647 | Mary Conaway Ritter, Lpc 710 Chippewa Sq Suite 208 Marquette MI 49855-4821 Ph: (906) 362-1647 |
| NPI Number | 1609283266 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 12/15/2015 |
| Medicare PECOS PAC ID | 6305297045 |
|---|---|
| Medicare Enrollment ID | O20240108003398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609283266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401002600 (Michigan) | Primary |
| Provider Name | Mary C Ritter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972796365 PECOS PAC ID: 2769670587 Enrollment ID: I20240108003607 |
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